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Sterile Water Irrigation

Last Updated: October 13, 2015
Status: Current

Products Affected - Description

All presentations are currently available.

Reason for the Shortage

  • Baxter had sterile water for irrigation on shortage due manufacturing delays.1
  • BBraun only has product available for existing customers.2
  • Hospira only has product available for existing customers.3

Available Products

Sterile Water for Irrigation, BBraun
500 mL bottle, 16 count (NDC 00264-2101-10)
1000 mL bottle, 16 count (NDC 00264-2101-00)
2000 mL bag, 4 count (NDC 00264-7386-50)
2000 mL bottle, 8 count (NDC 00264-2101-50)
3000 mL bag, 4 count (NDC 00264-7386-60)
4000 mL bottle, 4 count (NDC 00264-2101-70)

 
Sterile Water for Irrigation, Baxter
250 mL bottle, 24 count (NDC 00338-0004-02)
500 mL bottle, 18 count (NDC 00338-0004-03)
1000 mL bag, 14 count (NDC 00338-0003-44)
1000 mL bottle, 12 count (NDC 00338-0004-04)
1500 mL bottle, 9 count (NDC 00338-0004-05)
2000 mL bag, 6 count (NDC 00338-0003-46)
3000 mL bag, 4 count (NDC 00338-0003-47)
 
Sterile Water for Irrigation, Hospira
250 mL bottle, 24 count (NDC 00409-6139-22)
500 mL bottle, 24 count (NDC 00409-6139-03)
1000 mL bag, 12 count, NDC 00409-7973-05
1000 mL bottle, 12 count, NDC 00409-7139-09
1500 mL bottle, 9 count, NDC 00409-7139-36
2000 mL bag, 6 count, NDC 00409-7973-07
3000 mL bag, 4 count, NDC 00409-7973-08

Estimated Resupply Dates

Sterile Water for Irrigation is available from BBraun, Baxter and Hospira.1,2,3

Implications for Patient Care

Sterile water, lactated ringer’s, sodium chloride, and irrigations are all widely used.4

Safety

  • Clinicians may need to utilize different product sizes or packaging if desired sizes are not available.
  • Multiple brands of products may be available in the system.

Alternative Agents & Management

  • Make policies to allow substitution of products based on product availability at the site. For example, an organization could choose to allow lactated ringer’s solution to be substituted for sterile water. Table 1 provides a comparison of fluid components of other irrigation solutions besides sterile water.
  • Evaluate the clinical need for irrigation fluid replacement. Discontinue irrigations when appropriate.
  • Use smaller bag sizes when possible.
  • Consider reserving some products for specific clinical situations.

Table 1. Comparison of Selected Irrigation Fluids5,6

Product

mOsm/L

Na (mEq/L)

Cl (mEq/L)

Dextrose (g/L)

K (mEq/L)

Ca (mEq/L)

Lactate (mEq/L)

Lactated Ringer’s Solution

274

130

109

4

3

28

0.9% Sodium Chloride

308

154

154

 

Related Shortages

References

  1. Baxter (personal communications). August 14, November 7, 2014; January 28, March 9, April 15, May 18, July 6, September 30, and October 8, 2015.
  2. BBraun (personal communications). August 15, November 7, 2014; January 28, May 18, and September 23, 2015.
  3. Hospira (personal communications and website). August 15, November 7, December 2, 2014; January 28, March 9, May 4 and 18, July 14, September 30, and October 13, 2015.
  4. McEvoy GK, Snow EK, Kester L, Litvak K, Miller J, Welsh OH, eds. AHFS DI (Lexi-Comp Online). Bethesda, MD: American Society of Health-System Pharmacists; 2014.
  5. Hospira. Lactated Ringer’s Irrigation, USP [product information]. Lake Forest, IL: Hospira; 2009.
  6. Hospira. 0.45% Sodium Chloride Irrigation, USP, and 0.9% Sodium Chloride Irrigation, USP, [product information]. Lake Forest, IL: Hospira; 2009.

Updated

Updated October 13, 2015 by Jane Chandramouli, PharmD, Drug Information Specialist. Created October 1, 2015 by Jane Chandramouli, PharmD, Drug Information Specialist. Copyright 2015, Drug Information Service, University of Utah, Salt Lake City, UT.

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